Individual provider Active NPI

Brian T Daniel, CRNA

  • Certified Registered Nurse Anesthetist
  • Murray, KY
National Provider Identifier
1730460361
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007135 Issued in KY
Practice address
803 Poplar St
Murray, KY 42071-2432
Phone
(270) 762-1100
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 34124 TN
Certified Registered Nurse Anesthetist 367500000X 3007135 KY Primary

Addresses

Primary practice location

803 Poplar St
Murray, KY 42071-2432

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401
Phone (901) 227-4692

Other practice location 1

155 Innovation Drive
Jackson, TN 38305-3019
Phone (731) 986-7259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111208000797 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052586617 Reassigns benefits to 2 organizations
I20240108003558 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052586617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Innovation Dr
Jackson, TN 30305
Phone (731) 986-7468

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34124TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinic PA CurrentSince Feb 17, 2025 Accepting new patients
Jackson Clinic PA CurrentSince Feb 17, 2025 Accepting new patients
Apex Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Trigg County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2017 Accepting new patients
Trigg County Hospital, Inc CurrentSince Feb 18, 2017 Accepting new patients
Baptist Memorial Hospital-Huntingdon Current Accepting new patients
Baptist Memorial Hospital-Huntingdon CurrentSince Dec 18, 2023 Accepting new patients
Baptist Memorial Hospital-Huntingdon Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

155 Innovation Dr
Jackson, TN 38305
Phone (731) 986-7259

87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375

2859 Highway 45 Byp
Jackson, TN 38305
Phone (731) 660-8360

145 Innovation Dr
Jackson, TN 38305

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1730460361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712432",
            "telephone_number": "270-762-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 INNOVATION DRIVE",
            "address_purpose": "LOCATION",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053019",
            "country_code": "US",
            "telephone_number": "731-986-7259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "BRIAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "34124",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.